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NPI Code Detail

MEDICARE: JASHEKA MACK

MEDICARE:   JASHEKA  MACK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1235060146
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASHEKA MACK
Provider Business Mailing Address
First Line : 2541 LOSANTIVILLE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4547
Country : US
Telephone Number : 513-570-9721
Fax Number : 877-488-7011
Provider Business Practice Location Address
First Line : 2541 LOSANTIVILLE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4547
Country : US
Telephone Number : 513-570-9721
Fax Number : 877-488-7011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ JASHEKA MACK ” Practice Location

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